Organization
LICKING MEMORIAL PROFESSIONAL CORP
Active
Other names
LICKING MEMORIAL FAMILY PRACTICE NORTH NEWARK
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA L. WEBSTER (VP OF FINANCIAL SERVICES)
(740) 348-4819
Entity
Organization
Contact information
Practice address
270 GOOSEPOND RD, NEWARK, OH 43055-3104
(740) 348-7960
(740) 348-7961
Mailing address
270 GOOSEPOND RD, NEWARK, OH 43055-3104
(740) 348-7960
(740) 348-7961
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/15/2007
Last updated
10/12/2011
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